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Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium.
Ultrasound Obstet Gynecol. 2004 Nov; 24(6):682-3.UO

Abstract

Colouterine fistulae secondary to sigmoid diverticulitis are unusual. Methods for diagnosis remain to be established. We report a case with a colouterine fistula in which sonohysterography detected the flow of ultrasound contrast medium between the uterine cavity and the sigmoid colon through the posterior uterine wall, thus confirming the diagnosis. The diagnosis was further substantiated by a charcoal challenge test. The patient underwent en bloc resection of the uterus, Fallopian tubes, ovaries and sigmoid colon, the organs involved with diverticulitis. This is the first report to describe a colouterine fistula successfully diagnosed by sonohysterography using ultrasound contrast medium.

Authors+Show Affiliations

Takada T
Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Nakagawa S
No affiliation info available
Hashimoto K
No affiliation info available
Sone K
No affiliation info available
Kugu K
No affiliation info available
Kozuma S
No affiliation info available
Taketani Y
No affiliation info available

MeSH

AgedDiverticulosis, ColonicEndosonographyFemaleFistulaHumansIntestinal FistulaPreoperative CareSigmoid DiseasesUterine Diseases

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15476298

Citation

Takada, T, et al. "Preoperative Diagnosis of Colouterine Fistula Secondary to Diverticulitis By Sonohysterography With Contrast Medium." Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, vol. 24, no. 6, 2004, pp. 682-3.
Takada T, Nakagawa S, Hashimoto K, et al. Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium. Ultrasound Obstet Gynecol. 2004;24(6):682-3.
Takada, T., Nakagawa, S., Hashimoto, K., Sone, K., Kugu, K., Kozuma, S., & Taketani, Y. (2004). Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium. Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 24(6), 682-3.
Takada T, et al. Preoperative Diagnosis of Colouterine Fistula Secondary to Diverticulitis By Sonohysterography With Contrast Medium. Ultrasound Obstet Gynecol. 2004;24(6):682-3. PubMed PMID: 15476298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative diagnosis of colouterine fistula secondary to diverticulitis by sonohysterography with contrast medium. AU - Takada,T, AU - Nakagawa,S, AU - Hashimoto,K, AU - Sone,K, AU - Kugu,K, AU - Kozuma,S, AU - Taketani,Y, PY - 2004/10/12/pubmed PY - 2005/4/26/medline PY - 2004/10/12/entrez SP - 682 EP - 3 JF - Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology JO - Ultrasound Obstet Gynecol VL - 24 IS - 6 N2 - Colouterine fistulae secondary to sigmoid diverticulitis are unusual. Methods for diagnosis remain to be established. We report a case with a colouterine fistula in which sonohysterography detected the flow of ultrasound contrast medium between the uterine cavity and the sigmoid colon through the posterior uterine wall, thus confirming the diagnosis. The diagnosis was further substantiated by a charcoal challenge test. The patient underwent en bloc resection of the uterus, Fallopian tubes, ovaries and sigmoid colon, the organs involved with diverticulitis. This is the first report to describe a colouterine fistula successfully diagnosed by sonohysterography using ultrasound contrast medium. SN - 0960-7692 UR - https://www.unboundmedicine.com/medline/citation/15476298/Preoperative_diagnosis_of_colouterine_fistula_secondary_to_diverticulitis_by_sonohysterography_with_contrast_medium_ DB - PRIME DP - Unbound Medicine ER -